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Fzt. Bilal KaraFizyoterapi & Rehabilitasyon

Piriformis Syndrome Treatment in Bursa

The piriformis is a small muscle deep in the buttock, and the sciatic nerve passes directly beneath it (through it, in some people). When this muscle becomes tight or overworked it can press on the nerve and produce pain radiating down the leg, much like a disc herniation. The distinguishing clue is usually this: the pain starts not in the back but deep in the buttock, and increases markedly with long sitting. In Bursa Nilüfer, Fzt. Bilal Kara begins with an assessment that makes exactly this distinction.

When is it needed?

  • Deep hip pain appearing once running volume increases
  • Hip pain becoming pronounced with prolonged sitting
  • Weak pelvic control on a single leg
  • A complaint triggered after a new distance or pace
  • Fatigue in the hip abductor and external rotator muscles

What we do

  • Measuring pelvic control on a single leg
  • Targeted strengthening of the hip abductor and external rotator muscles
  • Gradually adjusting running distance, surface and incline
  • Opening up volume as strength reaches a certain level
  • Regular re-measurement of pelvic control

Piriformis Syndrome in Bursa Nilüfer

Fzt. Bilal Kara provides one-to-one care for piriformis syndrome at the clinic in Bursa Nilüfer — in Fethiye Mahallesi, on Kelebek Sokak, at a central point of Nilüfer, opposite the Fethiye covered market.

It is a short trip by car or public transport from İhsaniye, Odunluk, Balat, Özlüce, Ataevler, 23 Nisan and the surrounding areas. Every session is one-to-one, assessment-based and tailored to you.

If your hip hurts once running volume increases

Deep hip pain in runners usually follows a volume increase. When the muscles that stabilise the pelvis on a single leg fall short, small deep muscles take over the job and quickly become overloaded.

Fzt. Bilal Kara starts by measuring pelvic control on a single leg. Volume isn't opened up until hip abductor and external rotator strength reaches a certain level; running continues, but distance, surface and incline are adjusted accordingly.

Why does deep hip pain come with a volume increase?

Deep hip pain in runners usually follows a volume increase. When the muscles that stabilise the pelvis on a single leg fall short, small deep muscles take over the job and quickly become overloaded.

How is the programme built?

Fzt. Bilal Kara starts by measuring pelvic control on a single leg. Volume isn't opened up until hip abductor and external rotator strength reaches a certain level; running continues, but distance, surface and incline are adjusted accordingly.

Do you need to stop running?

No; running continues, only distance, surface and incline are adjusted to measured capacity.

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Book a one-to-one assessment for piriformis syndrome

Fzt. Bilal Kara · Bursa Nilüfer. Share your complaint; we plan the process together after the assessment.

Frequently asked questions

Will my hip pain resolve without stopping running?

In most cases yes; running continues while distance, surface and incline are adjusted, and volume is opened up as strength increases.

How is pelvic control tested?

Standing on one leg, whether the pelvis stays level is observed; it's a simple but informative test.

Which muscles get strengthened?

The hip abductor and external rotator muscles are the priority target; they directly affect pelvic control.

Other treatments

  • Sciatica

    For pain travelling from the back into the hip and leg: assessment that identifies the source, then graded exercise.

  • Hip Pain

    For groin, outer hip and deep buttock pain: assessment that finds the source, then strength-focused work.

  • Low Back Pain

    For back pain that persists without a clear imaging finding: a programme that looks for the source.

Articles on this topic

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